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Alaska rates for HCPCS 77771

Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$613.90 / $613.90 / $613.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.84 / $1,863.70 / $1,863.70
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$199.84 / $703.14 / $703.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,555.12 / $1,555.12 / $1,833.67
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$597.03 / $597.03 / $700.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.30 / $1,782.63 / $3,214.75
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$489.25 / $587.10 / $630.15
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,135.00 / $2,452.94 / $5,209.39
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$710.00 / $801.90 / $1,732.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.67 / $2,271.25 / $4,697.00
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$700.57 / $855.00 / $1,732.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.60 / $2,200.41 / $6,356.85
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$294.48 / $840.69 / $2,364.75